Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1312
Version No:1.0
Subject:June 2012 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:15 June 2012

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the June 2012 Release and includes:

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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Summary of changes:

Data Set
NHS HEALTH CHECKS DATA SET   Changed Description
 
Supporting Information
HEIGHT   Changed Description
WHAT'S NEW: JUNE 2012 renamed from WHAT'S NEW: MAY 2012   Changed Description, Name
 
Class Definitions
ACTIVITY   Changed Description
CARE ACTIVITY   Changed Description
CLINICAL INVESTIGATION RESULT ITEM   Changed Description
DIABETES ROUTINE REVIEW RESULT   Changed Attributes, Description
SERVICE   Changed Description
 
Attribute Definitions
APPOINTMENT FIRST ATTENDANCE   Changed Description
AUGMENTED CARE LOCATION CODE   Changed Description
EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE   Changed Description
PREGNANCY TOTAL LIVE BIRTHS   Changed Aliases
PREGNANCY TOTAL NEONATAL DEATHS   Changed Aliases
PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS   Changed Aliases
PREGNANCY TOTAL PREVIOUS PREGNANCIES   Changed Aliases
PREGNANCY TOTAL STILL BIRTHS   Changed Aliases
REFERRAL CLOSURE REASON FOR COMMUNITY CARE   Changed Description
REFERRAL REQUEST ACCEPTANCE INDICATOR   Changed Description
REFERRAL REQUEST SERVICE TYPE FOR NHS HEALTH CHECK   Changed Description
REFERRAL STATUS   Changed Description
REFERRAL TO TREATMENT PERIOD STATUS   Changed Description
RELATIONSHIP TO PERSON   Changed Description
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE   Changed Description
SOURCE OF ADMISSION   Changed Description
TREATMENT FUNCTION CODE   Changed Description
 
Data Elements
AUGMENTED CARE LOCATION (RETIRED)   Changed linked Attribute
BLOOD SPOT SCREENING STATUS (SICKLE CELL DISEASE)   Changed Description
DIABETES TYPE   Changed Description
DIAGNOSIS SCHEME IN USE   Changed Description
DIAGNOSTIC CODING   Changed Description
DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)   Changed Description
EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE   Changed Description
END DATE (AUGMENTED CARE PERIOD) (RETIRED)   Changed linked Attribute
END DATE (BRACHYTHERAPY TREATMENT COURSE)   Changed Description
END DATE (CHILD AND ADOLESCENT MENTAL HEALTH CLINICAL INTERVENTION EPISODE)   Changed Description
MENTAL HEALTH ACT 2007 MENTAL CATEGORY   Changed Description
PREGNANCY PREVIOUS CAESAREAN SECTIONS   Changed Aliases
PREGNANCY TOTAL PREVIOUS LIVE BIRTHS   Changed Aliases
PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS   Changed Aliases
PREGNANCY TOTAL PREVIOUS PREGNANCIES   Changed Aliases
PREGNANCY TOTAL PREVIOUS STILLBIRTHS   Changed Aliases
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)   Changed Description
START DATE (AUGMENTED CARE PERIOD) (RETIRED)   Changed linked Attribute
 
Packages
DIA renamed from DIAG   Changed Name
DR renamed from DUR   Changed Name
 

Date:15 June 2012
Sponsor:Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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NHS HEALTH CHECKS DATA SET

Change to Data Set: Changed Description

NHS Health Checks Data Set Overview

The NHS Health Checks Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012.

The Mandatory or Required (M/R) column indicates the recommendation for the inclusion of data:

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.
Reporting Period Details:
To carry the details of the reporting period and the eligible population.
M/RData Set Data Elements
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK)
Organisation Details:
To carry the details of the provider and commissioner organisations for the NHS Health Check.
M/RData Set Data Elements
MORGANISATION CODE (NHS HEALTH CHECK PROVIDER)
MORGANISATION CODE (CODE OF COMMISSIONER)
Person Demographics:
To carry the demographic details of the person. 
M/RData Set Data Elements
MLOWER LAYER SUPER OUTPUT AREA (RESIDENCE)
MAGE AT ATTENDANCE DATE
MPERSON GENDER CODE CURRENT
METHNIC CATEGORY
METHNIC CATEGORY
Health Check Person Record:
To carry the details of the person's NHS Health Check invitation. 
M/RData Set Data Elements
RINVITATION OFFER SENT INDICATOR (NHS HEALTH CHECK)
Health Check Person Assessment:
To carry the details of the person's NHS Health Check Assessment. 
M/RData Set Data Elements
MACTIVITY LOCATION TYPE CODE (NHS HEALTH CHECK)
MBODY MASS INDEX
MBODY MASS INDEX
MBLOOD PRESSURE SITTING
MTOTAL CHOLESTEROL HIGH DENSITY LIPOPROTEIN RATIO
MTOTAL CHOLESTEROL LEVEL
MPHYSICAL ACTIVITY LEVEL
MSMOKING STATUS CODE
MCARDIOVASCULAR DISEASE RISK SCORE
Health Check Information and Advice:
To carry the details of information and advice provided at an NHS Health Check Assessment.
M/RData Set Data Elements
RINFORMATION AND ADVICE PROVIDED INDICATOR (GENERAL LIFESTYLE ADVICE)
RINFORMATION AND ADVICE PROVIDED INDICATOR (STOP SMOKING ADVICE)
RINFORMATION AND ADVICE PROVIDED INDICATOR (WEIGHT MANAGEMENT ADVICE)
Health Check Brief Interventions Provided:
To carry the details of brief interventions provided at an NHS Health Check Assessment.
M/RData Set Data Elements
RBRIEF INTERVENTION PROVIDED INDICATOR (PHYSICAL ACTIVITY BRIEF)
RBRIEF INTERVENTION PROVIDED INDICATOR (PHYSICAL ACTIVITY BRIEF)
Health Check Signposting:
To carry the details of signposting to services provided at an NHS Health Check Assessment.
M/RData Set Data Elements
RSIGNPOSTING TO SERVICE INDICATOR (PHYSICAL ACTIVITY SERVICE)
RSIGNPOSTING TO SERVICE INDICATOR (STOP SMOKING SERVICE)
RSIGNPOSTING TO SERVICE INDICATOR (WEIGHT MANAGEMENT SERVICE)
Health Check Referrals:
To carry the details of referrals for services made at an NHS Health Check Assessment.
M/RData Set Data Elements
RREFERRAL TO SERVICE ACCEPTANCE INDICATOR (PHYSICAL ACTIVITY SERVICE)
RREFERRAL TO SERVICE ACCEPTANCE INDICATOR (STOP SMOKING SERVICE)
RREFERRAL TO SERVICE ACCEPTANCE INDICATOR (WEIGHT MANAGEMENT SERVICE)
Health Check Further Assessments Required:
To carry the details of further assessments required following an NHS Health Check Assessment.
M/RData Set Data Elements
RFURTHER ASSESSMENT REQUIRED INDICATOR (DIABETES ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (SERUM CREATININE ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (HYPERTENSION ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (FASTING CHOLESTEROL ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (IMPAIRED FASTING GLYCAEMIA IMPAIRED GLUCOSE TOLERANCE LIFESTYLE MANAGEMENT)
Health Check Prescriptions:
To carry the details of the prescriptions provided as a result of an NHS Health Check Assessment.
M/RData Set Data Elements
RPRESCRIPTION PROVIDED INDICATOR (STATINS)
RPRESCRIPTION PROVIDED INDICATOR (ANTI-HYPERTENSIVES)
Health Check Diagnosis:
To carry the details of the diagnosis provided as a result of an NHS Health Check Assessment.
M/RData Set Data Elements
RPATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 3)
RPATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 4)
RPATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 5)
RPATIENT DIAGNOSIS INDICATOR (TYPE 2 DIABETES)
RPATIENT DIAGNOSIS INDICATOR (HYPERTENSION)
RPATIENT DIAGNOSIS INDICATOR (NON DIABETIC HYPERGLYCAEMIA)

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HEIGHT

Change to Supporting Information: Changed Description

Height is a MEASURED PERSON OBSERVATION.

The Height of a PERSON on a given date. The unit of measurement is metres.The Height of a PERSON on a given date, where the MEASUREMENT VALUE TYPE CODE is National Code 'Metres' or 'Centimetres'.

 

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WHAT'S NEW: JUNE 2012  renamed from WHAT'S NEW: MAY 2012

Change to Supporting Information: Changed Description, Name

Release: June 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
  • CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
  • CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
  • CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
  • CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

Release: January 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

Release: November 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
  • CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

  • CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
  • CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
  • The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

  • CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

  • CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
  • CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
  • CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
  • CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
  • CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

 

Release: July 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

 

Release: June 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1256 (Immediate) - DDCN 1256/2011 School Definitions
  • CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
  • CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
  • CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
  • CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
  • CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

 

Release: March 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

Release: January 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
  • CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
  • CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
  • CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

Release: November 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
  • CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
  • CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
  • CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
  • CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
  • CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
  • CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
  • CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
  • CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

  • The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

Information Standards Notices and Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

Release: May 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

Release: March 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
  • CR1139 (Immediate) - DSCN 16/2010 Person Weight
  • CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
  • CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
  • CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
  • CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
  • CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
  • CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
  • CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
  • CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
  • CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme, Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

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ACTIVITY

Change to Class: Changed Description

Subtypes of ACTIVITY are:

ACTIVITY GROUP
CARE ACTIVITY

 

A provision of services to a PATIENT by one or more CARE PROFESSIONALS.An ACTIVITY is a provision of SERVICES to a PATIENT by one or more CARE PROFESSIONALS.

An ACTIVITY may be either an ACTIVITY GROUP or a CARE ACTIVITY. An ACTIVITY GROUP may include a series of one or more CARE ACTIVITIES.

 

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CARE ACTIVITY

Change to Class: Changed Description

A subtype of ACTIVITY

Subtypes of CARE ACTIVITY are:

CARE CONTACT
CLINICAL INTERVENTION

The provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.A CARE ACTIVITY is the provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.

CARE ACTIVITIES include:

 

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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Description

A result of a single Clinical Investigation including all essential or useful relevant data.

Note: A CLINICAL INVESTIGATION RESULT ITEM includes all useful information in connection with an investigation result (e.g. numerical value, date and time of clinical investigation etc.); this corresponds to what is normally called a 'line' on a paper report.Note: A CLINICAL INVESTIGATION RESULT ITEM includes all useful information in connection with an investigation result (e.g. numerical value, date and time of Clinical Investigation etc.); this corresponds to what is normally called a 'line' on a paper report.

References:
The Version 1.0 Trial NHS Standard EDIFACT Messages for Radiology Requests and Reports, 14.3.95
The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95

 

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DIABETES ROUTINE REVIEW RESULT

Change to Class: Changed Attributes, Description

A subtype of PERSON PROPERTY.

This is a routine review carried out for all young people and adults with diabetes, to provide regular surveillance for the long-term complications of diabetes.A routine review carried out for all young people and adults with diabetes, to provide regular surveillance for the long-term complications of diabetes.

 

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DIABETES ROUTINE REVIEW RESULT

Change to Class: Changed Attributes, Description

Attributes of this Class are:
DIABETES ROUTINE REVIEW
DIABETES ROUTINE REVIEW CODE
DIABETES ROUTINE REVIEW TYPE

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SERVICE

Change to Class: Changed Description

An episode of care, treatment or other service provided by an ORGANISATION which may be chargeable to one or more NHS SERVICE AGREEMENTS.

In most cases, the service will be for the direct benefit of a PATIENT.In most cases, the SERVICE will be for the direct benefit of a PATIENT.

For example a SERVICE may be one or more of the following:

aConsultant Episode (Hospital Provider) 
bConsultant Out-Patient Episode 
cHEALTHY PERSON STAY 
dAccident and Emergency Episode 
eRadiotherapy Treatment Course 
fDIAGNOSTIC TEST REQUEST 
gRegular Attender Episode 
hProfessional Staff Group Episode 
iSexual Health And HIV Episode 
jTRANSPORT REQUEST 
kStop Smoking Service 
lSexual and Reproductive Health Service 
mImproving Access to Psychological Therapies Service 

A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.

 

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APPOINTMENT FIRST ATTENDANCE

Change to Attribute: Changed Description

This indicates, when an attendance or contact is to take place as an APPOINTMENT, whether it is a first attendance appointment or a follow-up attendance appointment.This indicates, when an attendance or contact is to take place as an APPOINTMENT, whether it is a first attendance APPOINTMENT or a follow-up attendance APPOINTMENT.

If the PATIENT does not attend the first APPOINTMENT, another first attendance appointment should be made.If the PATIENT does not attend the first APPOINTMENT, another first attendance APPOINTMENT should be made.

An APPOINTMENT FIRST ATTENDANCE may be the first in a series such as an Consultant Out-Patient Episode, or only appointment which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent appointments in the series which take place should be recorded as follow-up.An APPOINTMENT FIRST ATTENDANCE may be the first in a series such as an Consultant Out-Patient Episode, or only APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent APPOINTMENTS in the series which take place should be recorded as follow-up.

Where one or more APPOINTMENT is recorded for a PATIENT but none has as yet taken place, the notional 'appointment first attendance' will be the APPOINTMENT with the earliest APPOINTMENT DATE.Where one or more APPOINTMENT is recorded for a PATIENT but none has as yet taken place, the notional 'Appointment first attendance' will be the APPOINTMENT with the earliest APPOINTMENT DATE. This excludes any APPOINTMENTS which have been cancelled as indicated by a recorded APPOINTMENT CANCELLED DATE.

National Codes:

01Appointment first attendance
02Appointment follow-up attendance
01Appointment first attendance
02Appointment follow-up attendance
 

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AUGMENTED CARE LOCATION CODE

Change to Attribute: Changed Description

The location at which augmented care (critical care) is delivered, excluding general wards, A&E, Radiology Departments, labour wards and special care baby units. The location of care may not be the same as the type of care being delivered.The location at which augmented care (critical care) is delivered, excluding general WARDS, Accident and Emergency Departments, Radiology Departments, labour WARDS and special care baby units.

The location of care may not be the same as the type of care being delivered.

National Codes:

01General Intensive Care Unit; adult intensive care, including wards labelled as surgical or medical ICU, but excluding the specialised units identified below. General Intensive Care Units may provide a mixture of HDU and ICU level care
02Cardiothoracic Intensive Care Unit; this includes those units labelled as separate cardiac or thoracic units
03Liver Intensive Care Unit
04Neurological Intensive Care Unit
05High Dependency Unit
06Paediatric Intensive Care Unit; a unit generally admitting PATIENTS between 0 and 14 years old, but excluding Special Care Baby Units
07Paediatric High Dependency Unit
08Neonatal Intensive Care Unit; a unit generally admitting only newborn babies up to two weeks post-delivery
09Cardiac Care Unit; otherwise referred to as a Coronary Care Unit
10Combined High Dependency and Coronary Care Unit; the beds and staff for the two units are geographically in the same area
11Combined Coronary and Intensive Care Unit; the beds and staff for the two units are geographically in the same area
12Combined High Dependency and Intensive Care Unit; the beds and staff for the two units are geographically in the same area
13Post Operative Recovery Unit; this includes a theatre recovery area
14Spinal Injury Intensive Care Unit; this is a unit designated for critical care rather than a spinal injury ward
15Burns Critical Care Unit; this includes all special care burns facilities other than short term post-operative care areas
16Renal Unit; this includes an in-patient kidney dialysis unit, but excludes general nephrology or urology wards
17Not otherwise specified
 

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EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE

Change to Attribute: Changed Description

The classification of the source of recruitment of an EMPLOYEE immediately prior to joining an employing ORGANISATION.The source of recruitment of an EMPLOYEE immediately prior to joining an employing ORGANISATION.

If the EMPLOYEE has been employed, the type of employer, or 'Self Employed', is recorded.

Where the EMPLOYEE has come from abroad, whether employed or not, the source or recruitment indicates whether the respective country is within the EU or outside the EU.

Where the EMPLOYEE was not employed, the source of recruitment indicates whether the EMPLOYEE is Newly Qualified, has undertaken some other form of Education/Training, is Returning to Practice, or was otherwise not employed.

The source of recruitment does not indicate the medium used in the recruitment campaign.

National Codes:

01NHS Organisation
01NHS ORGANISATION
02Social Services
03Private Health/Social Care
04General Practice
05Prison Service
06Armed Forces
07Education Sector
08Other Public Sector
09Other Private Sector
10Self Employed
11Abroad - EU Country
12Abroad - Non EU Country
13Education /Training
14NQ - First Qualification
15NQ - Further Qualification
16Return to Practice
17No Employment
 

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PREGNANCY TOTAL LIVE BIRTHS

Change to Attribute: Changed Aliases


PREGNANCY TOTAL NEONATAL DEATHS

Change to Attribute: Changed Aliases


PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS

Change to Attribute: Changed Aliases


PREGNANCY TOTAL PREVIOUS PREGNANCIES

Change to Attribute: Changed Aliases


PREGNANCY TOTAL STILL BIRTHS

Change to Attribute: Changed Aliases


REFERRAL CLOSURE REASON FOR COMMUNITY CARE

Change to Attribute: Changed Description

The REFERRAL CLOSURE REASON FOR COMMUNITY CARE indicates the reason that a REFERRAL REQUEST has been closed.  A REFERRAL REQUEST  can be closed on rejection of the REFERRAL REQUEST by the Community Health Service, or as a result of a PATIENT being discharged from the Community Health Service.

National Codes:

01Discharged - Admitted elsewhere
02Discharged - Treatment completed
03Discharged - Moved out of the area
04Discharged - No further treatment appropriate
05Discharged - PATIENT did not attend
06Discharged - PATIENT died
07Discharged - PATIENT requested discharge
08Discharged - Referred to other speciality/SERVICE
09Discharged - PATIENT refused to be seen
10Rejected - Duplicate REFERRAL REQUEST (PATIENT already undergoing treatment for same condition)
11Rejected - Inappropriate REFERRAL REQUEST (REFERRAL REQUEST is inappropriate for the SERVICES offered by the Community Health Service)
12Rejected - Incomplete REFERRAL REQUEST (incomplete information on REFERRAL REQUEST)
 

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REFERRAL REQUEST ACCEPTANCE INDICATOR

Change to Attribute: Changed Description

An indication of whether a PATIENT has accepted or declined to have a REFERRAL REQUEST made for them.

National Codes:

AAccepted
DDeclined
 

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REFERRAL REQUEST SERVICE TYPE FOR NHS HEALTH CHECK

Change to Attribute: Changed Description

The type of SERVICE a PATIENT is referred to at an NHS Health Check Assessment.

National Codes:

01Physical Activity Service
02Stop Smoking Service
03Weight Management Service
 

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REFERRAL STATUS

Change to Attribute: Changed Description

The status of a REFERRAL REQUEST for an Out-Patient Appointment.

The REFERRAL STATUS monitors the progress of an out-patient referral, from the time that the referral is received by the Trust until the referral is closed.

The REFERRAL STATUS should be first recorded when the out-patient REFERRAL REQUEST is received and accepted. If the PATIENT is given an immediate appointment, the initial status will be Appointment accepted / made. If the PATIENT is not given an immediate appointment, the initial status will be Appointment Pending, which will change to Appointment accepted / made when the appointment has been agreed with, or sent to, the PATIENT. The final status will always be Referral Closed.

  • If the PATIENT is given an immediate APPOINTMENT, the initial status will be 'Appointment accepted / made'.
  • If the PATIENT is not given an immediate APPOINTMENT, the initial status will be 'Appointment pending', which will change to 'Appointment accepted / made' when the APPOINTMENT has been agreed with, or sent to, the PATIENT.
  • The final status will always be 'Referral closed'.

Note that Appointment accepted / made and Appointment pending relate only to appointments for a FIRST ATTENDANCE.Note that 'Appointment accepted / made' and 'Appointment pending' relate only to APPOINTMENTS for a first attendance.

Classification:

a.Appointment accepted / made
b.Appointment pending
c.Referral closed
 

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REFERRAL TO TREATMENT PERIOD STATUS

Change to Attribute: Changed Description

The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.

National Codes:

 The first ACTIVITY in a REFERRAL TO TREATMENT PERIOD where the First Definitive Treatment will be a subsequent ACTIVITY 
10first ACTIVITY - first ACTIVITY in a REFERRAL TO TREATMENT PERIOD 
11Active Monitoring end - first ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following Active Monitoring 
12CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) referral - the first ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition
 
 Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD 
20subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
21transfer to another Health Care Provider - subsequent ACTIVITY by another Health Care Provider during a REFERRAL TO TREATMENT PERIOD anticipated
 
 ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD 
30Start of First Definitive Treatment 
31start of Active Monitoring initiated by the PATIENT 
32start of Active Monitoring initiated by the CARE PROFESSIONAL 
33Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral1 
34decision not to treat - decision not to treat made or no further contact required2 
35PATIENT declined offered treatment
36PATIENT died before treatment
 
 ACTIVITY that is not part of a REFERRAL TO TREATMENT PERIOD 
90after treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
91Active Monitoring - CARE ACTIVITY during Active Monitoring 
92not yet referred - not yet referred for treatment, undergoing diagnostic tests by GENERAL PRACTITIONER before referral
98not applicable - ACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
 
 ACTIVITY where the REFERRAL TO TREATMENT PERIOD STATUS is not yet known 
99not yet known

Where the REFERRAL TO TREATMENT PERIOD STATUS is National Code 99 - "not yet known" the status is treated as if the ACTIVITY is a subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD. In this case the REFERRAL TO TREATMENT PERIOD STATUS should be corrected once it is possible to determine the correct value.

1 PATIENTS who do not attend an appointment
National code 33 - "Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral" may only be used where

2 Decision not to treat
National Code 34 - "decision not to treat - decision not to treat made or no further contact required" includes

 

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RELATIONSHIP TO PERSON

Change to Attribute: Changed Description

The relationship of the second PERSON to the first PERSON. Note that this is a limited list.

National Codes:

AAunt
BBrother
CChild unspecified
DDaughter
FFather
GGrandparent
HHusband
KCousin
MMother
NNephew/niece
PParent unspecified
SSister
UUncle
WWife
XGrandchild unspecified
ZSon

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

Change to Attribute: Changed Description

The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Child and Adolescent Mental Health Services Secondary Uses Data Set and Children and Young People's Health Service Secondary Uses Data Set.

This is used to identify, for example, with whom the child or young person is living in a permanent context or the relationship with the main carer etc.

Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE codes at the high level (shown in bold) or at the more detailed level below each high-level code.

National Codes:

BPX Biological Parent 
BPMBiological mother
BPFBiological father
SPX Step-Parent 
SPMStepmother
SPFStepfather
GPX Grandparent 
GPMGrandmother
GPFGrandfather
ORX Other Relative 
ORAAunt
ORUUncle
ORSSister
ORBBrother
OROOther
APX Adoptive Parent 
APMAdoptive mother
APFAdoptive father
FPX Foster Parent 
FPMFoster mother
FPFFoster father
RCX Residential Carer 
OTX Other 
NOX None - Lives Alone 
 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Attribute: Changed Description

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for religious and other belief system affiliations in SNOMED CT® as follows:

    • original ID is 10791000000130 and
    • name is Religious or Other Belief System Affiliation.

National Codes:

Baha'i  
 A1Baha'i
Buddhist  
 B1Buddhist
 B2Mahayana Buddhist
 B3New Kadampa Tradition Buddhist
 B4Nichiren Buddhist
 B5Pure Land Buddhist
 B6Theravada Buddhist
 B7Tibetan Buddhist
 B8Zen Buddhist
Christian 
 C1Christian
 C2Amish
 C3Anabaptist
 C4Anglican
 C5Apostolic Pentecostalist
 C6Armenian Catholic
 C7Armenian Orthodox
 C8Baptist
 C9Brethren
 C10Bulgarian Orthodox
 C11Calvinist
 C12Catholic: Not Roman Catholic
 C13Celtic Christian
 C14Celtic Orthodox Christian
 C15Chinese Evangelical Christian
 C16Christadelphian
 C17Christian Existentialist
 C18Christian Humanist
 C19Christian Scientists
 C20Christian Spiritualist
 C21Church in Wales
 C22Church of England
 C23Church of God of Prophecy
 C24Church of Ireland
 C25Church of Scotland
 C26Congregationalist
 C27Coptic Orthodox
 C28Eastern Catholic
 C29Eastern Orthodox
 C30Elim Pentecostalist
 C31Ethiopian Orthodox
 C32Evangelical Christian
 C33Exclusive Brethren
 C34Free Church
 C35Free Church of Scotland
 C36Free Evangelical Presbyterian
 C37Free Methodist
 C38Free Presbyterian
 C39French Protestant
 C40Greek Catholic
 C41Greek Orthodox
 C42Independent Methodist
 C43Indian Orthodox
 C44Jehovah's Witness
 C45Judaic Christian
 C46Lutheran
 C47Mennonite
 C48Messianic Jew
 C49Methodist
 C50Moravian
 C51Mormon
 C52Nazarene Church
Synonym: Nazarene
 C53New Testament Pentacostalist
 C54Nonconformist
 C55Old Catholic
 C56Open Brethren
 C57Orthodox Christian
 C58Pentecostalist
Synonym: Pentacostal Christian
 C59Presbyterian
 C60Protestant
 C61Plymouth Brethren
 C62Quaker
 C63Rastafari
 C64Reformed Christian
 C65Reformed Presbyterian
 C66Reformed Protestant
 C67Roman Catholic
 C68Romanian Orthodox
 C69Russian Orthodox
 C70Salvation Army Member
 C71Scottish Episcopalian
 C72Serbian Orthodox
 C73Seventh Day Adventist
 C74Syrian Orthodox
 C75Ukrainian Catholic
 C76Ukrainian Orthodox
 C77Uniate Catholic
 C78Unitarian
 C79United Reform
 C80Zwinglian
Hindu 
 D1Hindu
 D2Advaitin Hindu
 D3Arya Samaj Hindu
 D4Shakti Hindu
 D5Shiva Hindu
 D6Vaishnava Hindu
Hare Krishna
Jain 
 E1Jain
Jewish 
 F1Jewish
 F2Ashkenazi Jew
 F3Haredi Jew
 F4Hasidic Jew
 F5Liberal Jew
 F6Masorti Jew
 F7Orthodox Jew
 F8Reform Jew
Muslim 
 G1Muslim
 G2Ahmadi
 G3Druze
 G4Ismaili Muslim
 G5Shi'ite Muslim
 G6Sunni Muslim
Pagan 
 H1Pagan
 H2Asatruar
 H3Celtic Pagan
 H4Druid
 H5Goddess
 H6Heathen
 H7Occultist
 H8Shaman
 H9Wiccan
Sikh 
 I1Sikh
Zoroastrian 
 J1Zoroastrian
Other 
 K1Agnostic  *
 K2Ancestral Worship
 K3Animist
 K4Anthroposophist
 K5Black Magic
 K6Brahma Kumari
 K7British Israelite
 K8Chondogyo
 K9Confucianist
 K10Deist
 K11Humanist
 K12Infinite Way
 K13Kabbalist
 K14Lightworker
 K15New Age Practitioner
 K16Native American Religion
 K17Pantheist
 K18Peyotist
 K19Radha Soami
Synonym: Sant Mat
 K20Religion (Other Not Listed)  **
 K21Santeri
 K22Satanist
 K23Scientologist
 K24Secularist
 K25Shumei
 K26Shinto
 K27Spiritualist
 K28Swedenborgian
Synonym: Neo-Christian
 K29Taoist
 K30Unitarian-Universalist
 K31Universalist
 K32Vodun
 k33Yoruba
None 
 L1Atheist
 L2Not Religious
Declines to Disclose 
 M1Religion not given - PATIENT refused
Unknown 
 N1Patient Religion Unknown ***

Note:

*  Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION but they are unsure what it is: Agnostic should be used

** Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION and it is one that is not listed: Religion (Other Not Listed) should be used

*** Where the PATIENT has not been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION: Patient Religion Unknown should be used

 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE

Change to Attribute: Changed Description

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE is aligned with descriptors for religious and other belief system affiliations in SNOMED CT® as follows:

    • original ID is 10791000000130 and
    • name is Religious or Other Belief System Affiliation.

National Codes:

ABaha'i
BBuddhist
CChristian
DHindu
EJain
FJewish
GMuslim
HPagan
ISikh
JZoroastrian
KOther
LNone
MDeclines to Disclose
NPatient Religion Unknown
 

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SOURCE OF ADMISSION

Change to Attribute: Changed Description

The coded source of admission to a Hospital Provider Spell or a Nursing Episode when the PATIENT is in a Hospital Site or a Care Home. Code 51 should not be used if the PATIENT arrives at an Accident and Emergency Department and is admitted to the same Hospital Provider.The source of admission to a Hospital Provider Spell or a Nursing Episode when the PATIENT is in a Hospital Site or a Care Home.

National Code 51 'NHS other hospital provider - WARD for general PATIENTS or the younger physically disabled or A & E department' should not be used if the PATIENT arrives at an Accident and Emergency Department and is admitted to the same Hospital Provider.

National Codes:

19Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes patients with no fixed abode.
19Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes PATIENTS with no fixed abode.
29Temporary place of residence when usually resident elsewhere (e.g. hotels, residential educational establishments)
39Penal establishment, Court, or police station
49NHS other hospital provider - high security psychiatric accommodation in an NHS hospital provider (NHS trust)
51NHS other hospital provider - ward for general patients or the younger physically disabled or A & E department
52NHS other hospital provider - ward for maternity patients or neonates
53NHS other hospital provider - ward for patients who are mentally ill or have learning disabilities
51NHS other hospital provider - WARD for general PATIENTS or the younger physically disabled or A & E department
52NHS other hospital provider - WARD for maternity PATIENTS or neonates
53NHS other hospital provider - WARD for PATIENTS who are mentally ill or have learning disabilities
54NHS run care home
65Local Authority residential accommodation ie where care is provided
66Local Authority foster care
79Babies born in or on the way to hospital
85Non-NHS (other than Local Authority) run care home
87Non NHS run hospital
88Non-NHS (other than Local Authority) run Hospice
 

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TREATMENT FUNCTION CODE

Change to Attribute: Changed Description

A unique identifier for a TREATMENT FUNCTION.

The appropriate TREATMENT FUNCTION CODE should be used to record activity undertaken, irrespective of the type of Healthcare Professional who performs it, even where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL e.g. Intermediate Care as the ACTIVITY TREATMENT FUNCTION CODE for a Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

National Codes:

CodeTreatment Function TitleComments
Surgical Specialties
100GENERAL SURGERYIncludes sub-categories not elsewhere listed e.g. endocrine surgery.
101UROLOGY 
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERY 
107VASCULAR SURGERY 
110TRAUMA & ORTHOPAEDICS 
120ENTEar, nose and throat
130OPHTHALMOLOGY 
140ORAL SURGERY 
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRY 
143ORTHODONTICS 
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery.
150NEUROSURGERY 
160PLASTIC SURGERY 
161BURNS CARETo be used by recognised specialist units and associated outreach services only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERY 
173THORACIC SURGERY 
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180ACCIDENT & EMERGENCY 
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialties
211PAEDIATRIC UROLOGYDedicated services to children with appropriate facilities and support staff
212PAEDIATRIC TRANSPLANTATION SURGERYDedicated services to children with appropriate facilities and support staff
213PAEDIATRIC GASTROINTESTINAL SURGERYDedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSDedicated services to children with appropriate facilities and support staff.
215PAEDIATRIC EAR NOSE AND THROATDedicated services to children with appropriate facilities and support staff
216PAEDIATRIC OPHTHALMOLOGYDedicated services to children with appropriate facilities and support staff
217PAEDIATRIC MAXILLO-FACIAL SURGERYDedicated services to children with appropriate facilities and support staff
218PAEDIATRIC NEUROSURGERYDedicated services to children with appropriate facilities and support staff
219PAEDIATRIC PLASTIC SURGERYDedicated services to children with appropriate facilities and support staff
220PAEDIATRIC BURNS CAREDedicated services to children with appropriate facilities and support staff
221PAEDIATRIC CARDIAC SURGERYDedicated services to children with appropriate facilities and support staff
222PAEDIATRIC THORACIC SURGERYDedicated services to children with appropriate facilities and support staff
241PAEDIATRIC PAIN MANAGEMENTDedicated services to children with appropriate facilities and support staff
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYDedicated services to children with appropriate facilities and support staff
252PAEDIATRIC ENDOCRINOLOGYDedicated services to children with appropriate facilities and support staff
253PAEDIATRIC CLINICAL HAEMATOLOGYDedicated services to children with appropriate facilities and support staff
254PAEDIATRIC AUDIOLOGICAL MEDICINEDedicated services to children with appropriate facilities and support staff
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGYDedicated services to children with appropriate facilities and support staff
256PAEDIATRIC INFECTIOUS DISEASESDedicated services to children with appropriate facilities and support staff
257PAEDIATRIC DERMATOLOGYDedicated services to children with appropriate facilities and support staff
258PAEDIATRIC RESPIRATORY MEDICINEDedicated services to children with appropriate facilities and support staff
259PAEDIATRIC NEPHROLOGYDedicated services to children with appropriate facilities and support staff
260PAEDIATRIC MEDICAL ONCOLOGYDedicated services to children with appropriate facilities and support staff
261PAEDIATRIC METABOLIC DISEASEDedicated services to children with appropriate facilities and support staff
262PAEDIATRIC RHEUMATOLOGYDedicated services to children with appropriate facilities and support staff
263**PAEDIATRIC DIABETIC MEDICINEDedicated services to children with appropriate facilities and support staff
264**PAEDIATRIC CYSTIC FIBROSISDedicated services to children with appropriate facilities and support staff
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDedicated services to children with appropriate facilities and support staff
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291PAEDIATRIC NEURO-DISABILITYDedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
Medical Specialties
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed e.g. metabolic medicine.
301GASTROENTEROLOGY 
302ENDOCRINOLOGY 
303CLINICAL HAEMATOLOGYExcludes ANTICOAGULANT SERVICE see 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305CLINICAL PHARMACOLOGY 
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINE 
308BLOOD AND MARROW TRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309HAEMOPHILIAPreviously in Clinical Haematology
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311CLINICAL GENETICSTo be used by recognised specialist units and associated outreach services only.
312not a Treatment Function 
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGYShould only be used where there are no separate services for Clinical Immunology and Allergy
314REHABILITATION 
315PALLIATIVE MEDICINE 
316CLINICAL IMMUNOLOGY 
317ALLERGYThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARE 
320CARDIOLOGY 
321PAEDIATRIC CARDIOLOGY 
322CLINICAL MICROBIOLOGY 
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach services only.
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
325**SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment.
327**CARDIAC REHABILITATIONRehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health.
328**STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329**TRANSIENT ISCHAEMIC ATTACKA multidisciplinary service for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
330DERMATOLOGY 
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
342**PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy.
343**ADULT CYSTIC FIBROSISSpecialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
371NUCLEAR MEDICINE 
400NEUROLOGY 
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410RHEUMATOLOGY 
420PAEDIATRICS 
421PAEDIATRIC NEUROLOGY 
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care.
424WELL BABIESCare given by the mother/substitute with medical and neonatal nursing advice if needed
430GERIATRIC MEDICINE 
450DENTAL MEDICINE SPECIALTIESIncludes oral medicine.
460MEDICAL OPHTHALMOLOGY 
500not a Treatment Function 
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations.
503GYNAECOLOGICAL ONCOLOGY 
510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560MIDWIFE EPISODE 
600not a Treatment Function 
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties.
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654DIETETICSThe application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment.
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders.
657**PROSTHETICSThe supply of prosthetics for PATIENTS.
658**ORTHOTICSThe supply of orthoses for PATIENTS.
659**DRAMATHERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes.
660**ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication.
661**MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health.
662**OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care.
Psychiatry
700LEARNING DISABILITY 
710ADULT MENTAL ILLNESS 
711CHILD and ADOLESCENT PSYCHIATRY 
712FORENSIC PSYCHIATRY 
713PSYCHOTHERAPY 
715OLD AGE PSYCHIATRY 
720EATING DISORDERSA specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721ADDICTION SERVICESThe psychiatric prevention and treatment of substance misuse including drugs and alcohol
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724PERINATAL PSYCHIATRYA specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810not a Treatment Function 
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYNot to be used for diagnostic imaging.
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
Pathology
820not a Treatment Function 
821not a Treatment Function 
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only.
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
834**MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu.
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
Other
900not a Treatment Function 
901not a Treatment Function 
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
900not a Treatment Function 
901not a Treatment Function 
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990Retired 

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
** The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1)
 TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
 GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
  Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service
 

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AUGMENTED CARE LOCATION (RETIRED)

Change to Data Element: Changed linked Attribute

AUGMENTED CARE LOCATION (retired)
 
Attribute:
AUGMENTED CARE LOCATION CODE

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BLOOD SPOT SCREENING STATUS (SICKLE CELL DISEASE)

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes: 
Default Codes: 

Notes:
BLOOD SPOT SCREENING STATUS (SICKLE CELL DISEASE) is the screening status for a CLINICAL INVESTIGATION RESULT ITEM for a Newborn Blood Spot Test for 'Sickle Cell Disease (SCD)', this is the NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE where the following National Codes apply.

Permitted National Codes:

01Specimen received in LABORATORY
02Screening declined
03Further sample required
 

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DIABETES TYPE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
Format/Length:n2
HES Item: 
National Codes:See DIABETES TYPE
Default Codes: 


Notes:
DIABETES TYPE is the same as attribute DIABETES TYPE.

DIABETES TYPE is the same as attribute DIABETES TYPE. 

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DIAGNOSIS SCHEME IN USE

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is used in the Clinical Information Group of the Commissioning Data Set to denote the code scheme basis of the Diagnosis.DIAGNOSIS SCHEME IN USE is used in the Clinical Information Group of the Commissioning Data Set to denote the code scheme basis of the Diagnosis.

Permitted National Codes:

01Accident & Emergency Diagnosis
02ICD-10
03Read Code 4Byte Version (retired 1 October 2009)
04Read Code Version 2
05Read Code Clinical Terms Version 3 (CTV3)

Read Code Clinical Terms Version 3 (CTV3) with qualifiers (previously known as 3.1) is not supported in the Commissioning Data Sets.

CDS-XML Message:

The codes specified above must be used in Commissioning Data Set - XML messages.

 

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DIAGNOSTIC CODING

Change to Data Element: Changed Description

Format/Length:an6 for ICD-10 (see ICD 10th Revision), an7 for Clinical Terms (The Read Codes)
HES Item:DIAGNSIS
National Codes: 
Default Codes: 

Notes:
This is a CLINICAL CLASSIFICATION associated with PATIENT DIAGNOSIS.DIAGNOSTIC CODING is a CLINICAL CLASSIFICATION associated with PATIENT DIAGNOSIS.

See International Classification of Diseases (ICD) and Read Coded Clinical Terms.

The recording system will require you to classify diagnoses where possible using ICD-10 or other classification codes approved centrally for mapping to ICD-10 codes. Clinical Terms (The Read Codes) can be used in addition to ICD-10 codes for Patient Diagnosis. However Clinical Terms (The Read Codes) are not accepted for the purposes of central Hospital Episode Statistics data, where ICD-10 is mandatory.

ICD-10 diagnostic codes are at least four characters in length. The first character is always alphabetic. Where an undivided three character code is used, the fourth character must be filled with 'X'.

Fifth characters should be used in accordance with the guidance in International Classification of Diseases (ICD). Where they are not used the character must be filled with a '-'. The sixth character of the code is used to designate an asterisk or dagger indicator in ICD-10; it may be an 'A' or 'D'.

 

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DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)

Change to Data Element: Changed Description

Format/Length:an7
HES Item: 
National Codes: 
Default Codes: 


Notes:
This is either the DIAGNOSTIC CODING or PROCEDURE CODING using Read Coded Clinical Terms relevant to conditions associated with Sexual Health and Human Immunodeficiency Virus.

DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES) is either the DIAGNOSTIC CODING or PROCEDURE CODING using Read Coded Clinical Terms relevant to conditions associated with Sexual Health and Human Immunodeficiency Virus.

The list of available sexual health READ CLASSIFICATION codings is available at gumcad@hpa.org.uk.

 

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EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
Format/Length:n2
HES Item: 
National Codes:See EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE
Default Codes: 


Notes:
EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE is the same as attribute EMPLOYMENT HISTORY RECRUITMENT SOURCE CODE.

The classification of the source of recruitment of an EMPLOYEE immediately prior to joining an employing ORGANISATION.

If the EMPLOYEE has been employed, the type of employer, or 'Self Employed', is recorded.

Where the EMPLOYEE has come from abroad, whether employed or not, the source or recruitment indicates whether the respective country is within the EU or outside the EU.

Where the EMPLOYEE was not employed, the source of recruitment indicates whether the EMPLOYEE is Newly Qualified, has undertaken some other form of Education/Training, is Returning to Practice, or was otherwise not employed.

 

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END DATE (AUGMENTED CARE PERIOD) (RETIRED)

Change to Data Element: Changed linked Attribute

END DATE (AUGMENTED CARE PERIOD) (retired)
 
Attribute:
ACTIVITY DATE

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END DATE (BRACHYTHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
END DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE, where ACTIVITY DATE TIME TYPE is National Code 'End Date' of the Brachytherapy Treatment Course.END DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE, where ACTIVITY DATE TIME TYPE is National Code 'End Date' of the Brachytherapy Treatment Course. 

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END DATE (CHILD AND ADOLESCENT MENTAL HEALTH CLINICAL INTERVENTION EPISODE)

Change to Data Element: Changed Description

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MENTAL HEALTH ACT 2007 MENTAL CATEGORY

Change to Data Element: Changed Description

Format/length:an1
HES item: 
Format/Length:an1
HES Item: 
National Codes:See MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
Default Codes:8 - Not applicable (i.e. not detained)
 9 - Not known

Notes:
MENTAL HEALTH ACT 2007 MENTAL CATEGORY is the same as attribute MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

See Mental Health Act Table for details of how MENTAL HEALTH ACT 2007 MENTAL CATEGORY relates to Parts and Sections of the Act.  

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PREGNANCY PREVIOUS CAESAREAN SECTIONS

Change to Data Element: Changed Aliases


PREGNANCY TOTAL PREVIOUS LIVE BIRTHS

Change to Data Element: Changed Aliases


PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS

Change to Data Element: Changed Aliases


PREGNANCY TOTAL PREVIOUS PREGNANCIES

Change to Data Element: Changed Aliases


PREGNANCY TOTAL PREVIOUS STILLBIRTHS

Change to Data Element: Changed Aliases


SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an2
HES Item:ADMISORC
National Codes:See SOURCE OF ADMISSION
Default Codes:98 - Not applicable
 99 - Not known: a validation error

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is the same as attribute SOURCE OF ADMISSION.

The values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.

SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) replaces SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.

 

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START DATE (AUGMENTED CARE PERIOD) (RETIRED)

Change to Data Element: Changed linked Attribute

START DATE (AUGMENTED CARE PERIOD) (retired)
 
Attribute:
ACTIVITY DATE

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DIA  renamed from DIAG

Change to Package: Changed Name

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DR  renamed from DUR

Change to Package: Changed Name

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